January 2019 Monthly Report - New York State Office of ... · OMH Monthly Report: January 2019 1 of 28. Table 1: NYS OMH State Psychiatric Center Inpatient Descriptive Metrics for

January 2019

Monthly Report OMH Facility Performance Metrics

and Community Service Investments

Table of Contents

January 2019 Report Overview ................................................................................................ 1

Table 1: NYS OMH State PC Inpatient Descriptive Measures ................................................ 2

Table 2: Transformation and Article 28/31 RIV Summary ..................................................... 3

Table 3 Series: Reinvestment by Facility Catchment Area .............................................. 4-18

Transformation Pre-Investment Tables

Table 3a: Greater Binghamton Health Center .......................................................................... 4

Table 3b: Elmira Psychiatric Center ......................................................................................... 5

Table 3c: St. Lawrence Psychiatric Center .............................................................................. 6

Table 3d: Sagamore Children’s Psychiatric Center .................................................................. 7

Table 3e: Pilgrim Psychiatric Center ........................................................................................ 8

Table 3f: Western NY Children’s – Buffalo Psychiatric Center ................................................. 9

Table 3g: Rochester Psychiatric Center ................................................................................. 10

Table 3h: New York City Psychiatric Centers ......................................................................... 11

Table 3i: Rockland – Capital District Psychiatric Centers ....................................................... 12

Table 3j: Hutchings Psychiatric Center .................................................................................. 13

Article 28/31 Reinvestment Tables

Article 28 & 31 Hospital Reinvestment Summaries ................................................................ 14

Table 3k: Western Region Article 28 Hospital Reinvestment ................................................. 15

Table 3l: New York City Region Article 28 Hospital Reinvestment ......................................... 16

Table 3m: Hudson River Region Article 28 Reinvestment ...................................................... 17

Table 3n: Long Island Region Article 28 Hospital Reinvestment ........................................... 18

Table 4: NYS OMH State PC Inpatient Discharge Metrics .................................................... 19

Table 5: General & Private Hospital Readmission & ER Utilization Rates .......................... 20

Glossary of Services ............................................................................................................... 23

OMH Monthly Report: January 2019

January 2019 Monthly Report:

OMH facility performance metrics and community service investments

Report Overview:

This report is issued pursuant to the State Fiscal Year 2018-19 Budget agreement which requires

that “The Commissioner of Mental Health shall provide monthly status reports of the 2018-19

community investments and the impact on inpatient census to the Temporary President of the

Senate, the Speaker of the Assembly, and the Chairs of the Senate and Assembly fiscal

committees. Such reports shall include state operated psychiatric facility census; occurrence of

census exceeding budgeted capacity and reason; occurrence of out of catchment area placements

that are due to insufficient capacity in the catchment area hospital; admissions and discharges; rate

of Medicaid psychiatric inpatient readmissions to any hospital within thirty days of discharge;

Medicaid emergency room psychiatric visits; descriptions of 2018-19 new community service

investments; average length of stay; and number of long-term stay patients. Such reports shall

include an explanation of any material census reductions, when known to the facility.”

This report is comprised of several components:

1. State Psychiatric Center (PC) descriptive metrics;

2. Description and status of community service investments;

3. Psychiatric readmissions to hospitals and emergency rooms for State PC discharges;

4. Psychiatric readmissions to hospitals and emergency rooms for Article 28 and Article 31

hospital psychiatric unit discharges.

Statewide Overview of Service Expansion:

Utilization of services developed through the 2018-19 fiscal year continued to grow during January. Planning is underway for new and enhanced services to be developed with unallocated resources. OMH is also conducting a review of existing programs to identify opportunities for improvement or reprogramming.

Supported housing continued developing and serving new individuals, with over 1,700 new individuals served with the expansion capacity through January. The new rates for supported housing units were updated during January, as reflected in the accompanying tables.

State-operated community services continued expanding their reach through eight facility service

regions of the State. Statewide expansion has served over 13,800 new individuals through January,

as outlined in the accompanying tables. Programs funded through Aid to Localities, including mobile

crisis, Assertive Community Treatment (ACT), and peer crisis respite services, continue with start-up

and expansion in all areas of the State. Over 55,900 new individuals have been served in the Aid to

Localities-funded programs through January.

OMH Monthly Report: January 2019 1 of 28

Table 1: NYS OMH State Psychiatric Center Inpatient Descriptive Metrics for January, 2019

Capital Beds Funded CapacityCapacity

Change2, 3 Admission

Catchment Area

Placements4 Long Stay

6

N N N N N N Days N N N N

Capital Beds as of

end of SFY 2017-

18

January, 2019

Funded Capacity

Capacity change

from previous

month

# of Admissions

during January

2019

# of out of

catchment area

placements during

January, 2018

# of Discharges

during January

2019

Median Length of

Stay for discharges

during January 2019

# of Long Stay on

census 01/31/2019

Avg. daily census

11/01/2018-

11/30/2018

Avg. daily census

12/01/2018-

12/31/2018

Avg. daily census

01/01/2019-

01/31/2019

Adult

Bronx 156 156 -- 11 -- 10 190 93 151 155 154

Buffalo 221 155 -- 14 -- 19 109 66 153 153 153

Capital District 158 109 -- 8 -- 11 33 65 103 103 103

Creedmoor 480 333 -- 23 -- 25 151 205 324 324 320

Elmira 104 49 -- 14 -- 6 83 12 49 43 47

Greater Binghamton 178 71 -- 10 -- 8 173 28 70 66 71

Hutchings 132 117 -- 12 -- 12 90 39 98 96 96

Kingsboro 254 161 -- 7 -- 7 317 92 158 159 159

Manhattan 476 151 1 18 -- 18 192 59 148 150 151

Pilgrim 771 273 (1) 14 -- 18 187 172 271 271 271

Rochester 222 76 -- 14 -- 9 93 37 76 68 67

Rockland 436 362 (3) 13 -- 22 291 233 362 357 350

South Beach 280 237 -- 26 -- 32 189 76 214 225 230

St. Lawrence 84 40 -- 10 -- 10 176 9 37 38 37

Washington Heights 21 21 -- 18 -- 14 26 0 17 16 18

Total 3,973 2,311 -- 212 -- 221 142 1,186 2,231 2,224 2,227

Children & Youth

Elmira 48 13 -- 10 2 8 58 1 12 12 12

Greater Binghamton 16 14 -- 22 3 15 21 0 13 11 12

Hutchings 30 23 -- 18 2 18 26 1 19 19 19

Mohawk Valley 32 32 -- 47 1 40 20 0 29 29 29

NYC Children's Center 184 97 -- 22 -- 17 120 34 73 76 82

Rockland CPC 56 20 -- 14 -- 9 21 0 16 14 12

Sagamore CPC 77 54 -- 8 1 7 23 23 41 42 42

South Beach 12 11 -- 2 -- 3 91 2 10 9 10

St. Lawrence 29 28 -- 37 -- 27 21 0 22 22 22

Western NY CPC 46 46 -- 14 2 16 74 11 38 37 41

Total 530 338 -- 194 -- 160 25 72 273 271 280

Forensic

Central New York 450 179 -- 20 -- 31 92 19 102 104 97

Kirby 220 216 -- 34 -- 31 109 84 204 216 216

Mid-Hudson 340 288 -- 30 -- 29 99 164 285 279 283

Rochester 84 84 -- 4 -- 3 81 51 84 84 84

Total 1,094 767 -- 88 -- 94 102 318 675 683 680

Updated as of February 5, 2019

1. Research units and Sexual Offender Treatment Programs (SOTP) were excluded.

4. Catchment area placements are defined as: The number of individuals referred to this facility but admitted outside of its catchment area due to insufficient capacity at the time of referral.

5. Discharge includes discharges to the community and transfers to another State IP facility.

6. Long Stay is defined as: Length of stay over one year for adult and forensic inpatients, and over 90 days for child inpatients.

7. Monthly Average Daily Census defined as: Total number of inpatient service days for a month divided by the total number of days in the month. Population totals displayed may differ from the sum of the facility monthly census values due to

rounding.

State Inpatient

Facilities1

Discharge5

Monthly Average Daily Census7

Notes:

2. Capacity increases in this report for Manhattan reflect a temporary increase associated with need that exceeds previously-funded bed levels. Staffing levels are adjusted as needed to accommodate such changes.

3. Capacity reductions comply with requirement that there be a consistent ninety day period of time that the beds remain vacant, as demonstrated by the November to January census data.


HCBS Waiver Slots

Greater Binghamton Children 60 12 $315,516 $315,516 58

Elmira Children 90 12 $315,516 $315,516 28

St. Lawrence Children 78 12 $315,516 $315,516 38

Sagamore Children 192 60 $1,488,240 $1,488,240 201

Western NY Children 110 24 $631,032 $631,032 91

Rochester Children 100 - - - -

New York City Children 600 78 $1,749,440 $1,749,440 145

Rockland Children 177 30 $323,118 $323,118 118

Hutchings Children 72 18 $473,274 $473,274 55

Subtotal 1,479 246 $5,611,652 $5,611,652 734

Greater Binghamton Adults 289 88 $739,796 $739,796 159

Elmira Adults 517 82 $735,690 $735,690 142

St. Lawrence Adults 306 55 $459,480 $459,480 104

Pilgrim Adults 2,245 208 $3,565,536 $3,565,536 227

Buffalo Adults 1,196 112 $993,040 $993,040 197

Rochester Adults 555 125 $1,135,913 $1,135,913 227

New York City Adults 8,776 364 $6,335,420 $6,335,420 338

Rockland Adults 1,841 145 $2,003,539 $2,003,539 195

Capital District PC Adults 659 84 $632,077 $632,077 105

Hutchings Adults 837 42 $341,754 $341,754 78

Subtotal 17,221 1,305 $16,942,245 $16,942,245 1,772

Greater Binghamton

Elmira

St. Lawrence $2,736,160 $2,736,160 2,300

Sagamore $1,820,000 1,721

Pilgrim $1,750,000 1,294

Western NY $1,050,000 $1,050,000 1,036

Buffalo $490,000 $490,000 353

Rochester $2,145,440 $2,145,440 1,009

New York City $2,660,000 $1,470,000 731

Rockland $280,000 45

Capital District PC $420,000 69

Hutchings $1,068,400 $1,068,400 525

Subtotal $20,230,000 $17,608,500 13,872

Greater Binghamton $954,921 5,431

Elmira $703,574 1109

St. Lawrence $1,331,000 $1,330,998 4,582

Sagamore 137

Pilgrim 5,184

Western NY - - -

Buffalo $2,989,517 $2,989,517 4,513

Rochester $3,173,000 $3,173,000 2181

New York City $7,432,000 $7,430,938 2966

Rockland $4,228,116 8,834

Capital District PC $430,000 45

Hutchings $1,077,000 $1,070,950 1,287

Subtotal $29,298,805 $27,824,352 36,269

$1,500,000 $1,500,000 N/A

Sustained Engagement Support Team $1,000,000 $1,000,000 920

$5,725,636 $5,725,636 N/A

Peer Specialist Certification N/A N/A 365

$5,500,000 $5,500,000 220

Subtotal $13,725,636 $13,725,636 1,505

$11,676,432

TOTAL TRANSFORMATION $97,484,770 $81,712,385 54,152

St. James Mercy (WNY) Child & Adult N/A N/A $894,275 $894,275 2,910

Medina Memorial (WNY) Adults N/A N/A $199,030 $199,030 980

Holliswood/Stony Lodge/Mt Sinai (NYC) Child & Adult N/A N/A $10,254,130 $10,254,130 2,567

Stony Lodge/Rye (Hudson River) Child & Adult N/A N/A $4,650,831 $4,650,831 7,368

LBMC/NSUH/PK (Long Island) Child & Adult N/A N/A $2,910,400 $2,910,400 5,847

Subtotal $18,908,666 $18,908,666 19,672

GRAND TOTAL $116,393,436 $100,621,051 73,824

1. Prior capacity refers to the program capacity at the end of State fiscal year 2013-14; before Transformation investments began.

2. Annualized reinvestment amounts in Supported Housing have been recalculated after a review of data quality issues.

$3,570,000

Table 2: Transformation and Article 28/31 Reinvestment Summary - By Facility

OMH Facility Target Population Prior Capacity1

Reinvestment

Expansion

Annualized

Reinvestment Allocated

New Individuals

Served

Supported Housing Beds2

State-Community

$5,740,000 $4,378,500

$770,000

Residential Stipend Adjustment

Funds available subject to reduction of anticipated excess inpatient capacity

Article 28/31 Reinvestment

SNF Transition Supports

$5,512,338

$5,740,000

Suicide Prevention, Forensics

Statewide

4,789

Aid to Localities

$1,690,288

$5,866,000


Status Update Start Up Date

New

Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Broome 24 6 4/1/2014 32 $157,758

HCBS Waiver Children Tioga 6 6 6/5/2014 26 $157,758

SUBTOTAL: 30 12 58 $315,516

Supported Housing Adult Broome 161 53 8/1/2014 116 431,261

Supported Housing Adult Chenango 46 8 10/1/2014 10 65,096

Supported Housing Adult Delaware 27 6 1/1/2016 1 48,822

Supported Housing Adult Otsego 30 8 6/1/2015 8 66,712

Supported Housing Adult Tioga 25 3 7/1/2015 7 26,175

Supported Housing Adult Tompkins 0 10 11/1/2014 17 101,730

SUBTOTAL: 289 88 159 $739,796

State Resources: N/A

Mobile Integration Team1 Adults &

Children

Southern Tier

Service Area 38.35 FTEs 6/1/2014 4,027 $1,342,250

Clinic Expansion1 Adult Southern Tier

Service Area 7.2 FTEs 1/1/2015 353 $252,000

OnTrack NY Expansion Adult Southern Tier

Service Area 3 FTE 2/2/2017 24 $210,000

SUBTOTAL: 4,404 $1,804,250

Aid to Localities: Eastern

Southern Tier

Service Area N/A N/A

Crisis Intervention Team (CIT) Adults &

Children

Broome

9/14/2015 3,275 $80,400

Engagement & Transitional Support

Services Program

Adults &

Children

Chenango &

Delaware 12/28/2015 308 $160,800

Family Stabilization Program Children Otsego 6/27/2016 45 $80,400

Warm Line Program Adult Tioga 6/11/2016 60 $35,040

Drop-In Center Adult Tioga 11/1/2015 111 $45,360

Crisis Stabilization Team Adult Broome 4/30/2018 130 $80,000

Peer-In-Home Companion Respite Adult Broome 8/1/2017 308 $42,000

Enhanced Outreach Services Adults &

Children

Chenango

8/1/2017 159 $80,000

Enhanced Outreach Services Adults &

Children

Delaware

8/1/2017 1,019 $80,000

Enhanced Child & Family Support

Services

Children Otsego

9/1/2017 N/A $54,958

System Monitoring Support Adult &

Children

Otsego

9/1/2017 N/A $25,042

Crisis/Respite Program Expansion2 Adult Tompkins 1/1/2018 16 $190,921

SUBTOTAL: 5,431 $954,921

$1,306,971

TOTAL: 10,052 $5,121,454

Notes:

2. Reinvestment funding $50,921 previously allocated for Transitional Housing Program in Tompkins county on Table 3b was reallocated to a new Crisis/Respite Program Expansion in Tompkins

county on Table 3a by combining with $140,000 unallocated Aid to Localities funding on Table 3a.

Table 3a: Greater Binghamton Health Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)

Investment Plan Progress

State Resources - In Development:

1. State Resources program funding is shared with Elmira service area. State Resources subtotal reflects 50% of the full Southern Tier allocation, with the remainder in Table 3b.



New

Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Seneca 6 3 6/5/2014 9 $78,879

HCBS Waiver Children Steuben 12 3 6/5/2014 11 $78,879HCBS Waiver Children Wayne 12 6 6/5/2014 8 $157,758

SUBTOTAL: 36 12 28 $315,516

Supported Housing Adult Allegany 35 2 11/1/2014 6 17,450

Supported Housing Adult Cattaraugus 0 1 2/1/2015 2 8,725

Supported Housing Adult Chemung 121 31 9/1/2014 56 276,055

Supported Housing Adult Ontario 64 13 10/1/2014 19 118,417

Supported Housing Adult Schuyler 6 6 12/1/2015 5 52,350

Supported Housing Adult Seneca 28 9 8/1/2014 16 80,145

Supported Housing Adult Steuben 119 8 9/1/2014 15 69,800

Supported Housing Adult Tompkins 64 4 9/1/2014 9 40,692

Supported Housing Adult Wayne 70 4 10/1/2014 7 36,436

Supported Housing Adult Yates 10 4 6/1/2015 7 35,620

SUBTOTAL: 517 82 142 $735,690


Mobile Integration Team1 Adults &

Children

Southern Tier

Service Area 38.35 FTEs 6/1/2014 4,027 $1,342,250

Clinic Expansion1 Adult Southern Tier


Crisis/respite Unit Children Elmira PC


Clinic Expansion Children Elmira PC

Service Area 1.5 FTEs 9/1/2014 N/A $105,000

SUBTOTAL: 4,765 $2,574,250

Aid to Localities: Western

Southern Tier/

Finger Lakes


Respite Services Adult 3/1/2016 78 $50,368

Community Support Services Adult 5/1/2016 563 $61,947

Family Support Adult 3/7/2017 6 $34,887

Peer Training Adult 12/5/2015 292 $10,538

Transitional Housing Program Adult Steuben 7/1/2015 61 $101,842

Transitional Housing Program Adult Yates 4/8/2016 42 $50,921

Mobile Psychiatric Supports Adult Wayne Funding has been made available on the

county State Aid Letter, and is effective

January 1, 2017. $40,576

Residential Crisis/Respite2 Adult Chemung 7/1/2017 58 $108,000

Home-Based Crisis Intervention

Program Expansion

Children Chemung

1/1/2018 9 $244,495

SUBTOTAL: 1,109 $703,574

$53,786

$30,793

TOTAL: 6,044 $4,413,609

Notes:

Table 3b: Elmira Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)


2. Community Support Program Expansion - Long Stay Team was reprogrammed to support Residential Crisis/Respite, effective 1/1/2019.

*Note: Reinvestment funding $50,921 previously allocated for Transitional Housing Program in Tompkins county on Table 3b was reallocated to a new Crisis/Respite Program Expansion

in Tompkins county on Table 3a by combining with $140,000 unallocated Aid to Localities funding on Table 3a.

1. State Resources program funding is shared with Binghamton service area. State resources subtotal reflects 50% of the full Southern Tier allocation, with the remainder in Table 3a.

Western

Southern Tier/

Finger Lakes

Service Area

Aid to Localities - In Development:

State Resources - In Development:


Status Update Start Up Date New Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Essex 12 6 6/5/2014 14 $157,758

HCBS Waiver Children St. Lawrence 18 6 5/1/2014 24 $157,758

SUBTOTAL: 30 12 38 $315,516

Supported Housing Adult Clinton 54 8 10/1/2014 19 66,712

Supported Housing Adult Essex 29 6 3/1/2015 9 50,034

Supported Housing Adult Franklin 42 5 1/1/2015 10 40,685

Supported Housing Adult Jefferson 57 9 11/1/2014 16 82,350

Supported Housing Adult Lewis 51 2 2/1/2015 5 16,274

Supported Housing Adult St. Lawrence 73 25 1/1/2015 45 203,425

SUBTOTAL: 306 55 104 $459,480


Mobile Integration Team Adults &

Children

St. Lawrence

PC Service

Area 21 FTEs 6/6/2014 1,989 $1,470,000

Clinic expansion Children Jefferson 6.5 FTEs 9/8/2015 156 $455,000

Crisis/respite Unit1 Children St. Lawrence

PC Service

Area 11.5 FTEs 10/1/2016 155 $811,160

SUBTOTAL: 2,300 $2,736,160

Aid to Localities: St. Lawrence

PC Service

Area N/A N/A

Outreach Services Program Adult Clinton 2/1/2015 103 $46,833

Mobile Crisis Program Adult Essex 4/28/2015 263 $23,417

Community Support Program Adults &

Children

Essex

3/1/2015 307 $23,416

Mobile Crisis Program Adults &

Children

St. Lawrence

7/1/2015 544 $46,833

Support Services Program Adult Franklin 3/15/2015 47 $12,278

Self Help Program Adult Franklin 3/15/2015 138 $12,277

Outreach Services Program Adults &

Children

Franklin

3/15/2015 889 $12,278

Crisis Intervention Program Adults &

Children

Franklin

6/1/2015 69 $10,000

Outreach Services Program Adults &

Children

Lewis

1/4/2016 312 $46,833

Outreach Services Program Adult Jefferson 9/28/2015 1,798 $46,833

Non-Medicaid Care Coordination Children Jefferson 9/1/2017 59 $200,000

Child & Family Support Team Children St. Lawrence 2/12/2018 53 $200,000

Therapeutic Crisis Respite Program Children Jefferson Funding has been made available on the

county State Aid Letter, and is effective

July 1, 2018. $650,000

SUBTOTAL: 4,582 $1,330,998

TOTAL: 7,024 $4,842,154

Table 3c: St. Lawrence Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)




New Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Nassau 90 24 10/1/2013 89 $661,440

HCBS Waiver Children Suffolk 102 30 5/6/2014 81 $826,800

SUBTOTAL: 192 54 170 $1,488,240


Family Court Evaluation Children Long Island 1 FTE 4/1/2014 N/A $70,000

Mobile Crisis Children Suffolk 1 FTE 7/1/2014 1,039 $70,000

Mobile Integration Team Children Nassau &

Suffolk 10 FTEs 11/30/2014 241 $700,000

Clinic Expansion1 Children Nassau &

Suffolk 5 FTEs 3/21/2016 71 $350,000

Crisis/respite Unit Children Nassau &

Suffolk 9 FTEs 3/9/2015 370 $630,000

SUBTOTAL: 1,721 $1,820,000

Aid to Localities: Long Island N/A N/A

6 Non-Medicaid Care

Coordinators

Children Suffolk

4/1/2016 125 $526,572

1.5 Intensive Case Managers Children Suffolk State Aid & State Share of

Medicaid* 4/1/2016 12 $81,299

Non-Medicaid Case

Management

Children Nassau Funding has been made

available on the county State Aid

Letter, and is effective July 1, $85,000

Mobile Crisis Team2 Adults &

Children

Nassau

8/1/2018 See Table 3n2

$225,700

SUBTOTAL: 137 $918,571

$280,000

TOTAL: 2,028 $4,506,811

* Gross Medicaid projected $100,690

Notes:

1. A portion of previously allocated and unused clinic FTEs have been reprogrammed for future planning.

2. The Mobile Crisis Team in Nassau County is funded by Long Island Art. 28 reinvestment funding and Sagamore PC Aid to Localities funding. The number of newly served

individuals is only reflected on Table 3n, so as not to duplicate the number of individuals served.

Aid to Localities - In Development:

Table 3d: Sagamore Children's Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)




New Individuals

Served

Annualized

Reinvestment

Amount ($)

Supported Housing Adult Nassau 885 83 3/1/2015 75 1,422,786

Supported Housing Adult Suffolk 1,360 125 12/1/2014 152 2,142,750

SUBTOTAL: 2,245 208 227 $3,565,536


Clinic Expansion Adult Nassau &

Suffolk 5 FTEs 11/20/2015 61 $350,000

Mobile Integration Team Adult Nassau &

Suffolk 20 FTEs 1/11/2016 1,233 $1,400,000

SUBTOTAL: 1,294 $1,750,000

Aid to Localities: Long Island N/A N/A

2 Assertive Community

Treatment teams*

Adult Nassau

136

State Aid & State Share of

Medicaid* 3/1/2015 184 $1,158,299

(3) Mobile Residential

Support Teams

Adult Suffolk

8/1/2015 4,313 $1,033,926

Hospital Alternative Respite

Program5

Adult Suffolk

7/6/2016 101 $532,590

Recovery Center Adult Suffolk 4/15/2016 586 $250,000

Mobile Crisis Team

Expansion - Long Stay Team1

Adults &

Children

Nassau &

Suffolk 7/1/2016 See Table 3n1

$503,812

Crisis Stabilization Center Adult Suffolk $804,440

Client Financial Management

Services2

Adult Nassau

$85,000

Mobile Crisis Team2, 4 Adults &

Children

Nassau8/1/2018 See Table 3n

4$225,700

SUBTOTAL: 5,184 $4,593,767

$144,160

TOTAL: 6,705 $10,053,463

* Gross Medicaid projected $1,827,048; State Share adjusted to reflect current model

Notes:

Table 3e: Pilgrim Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)


5. Pilgrim PC Aid to Localities reinvestment funding for Hospital Alternative respite program on Table 3e is blended with Long Island Article 28 reinvestment funding for Peer Outreach

program on Table 3n. The number of newly served individuals is only reported on Table 3e, to prevent duplication in the number of people served.

Funding has been made available

on the county State Aid Letter,

and is effective July 1, 2017.

4. The Mobile Crisis Team in Nassau County is funded by Long Island Art. 28 reinvestment funding and Pilgrim PC Aid to Localities funding. The number of newly served individuals is

only reflected on Table 3n, so as not to duplicate the number of individuals served.

2. Previously undeveloped State FTE resources converted to support new local Mobile Crisis and Client Financial Management programming. Additional unallocated resources shifted

to Table 3h.

1. The Mobile Crisis Team expansion in Suffolk County is funded by Long Island Art. 28 reinvestment funding and Pilgrim PC Aid to Localities funding. The number of newly served

individuals is only reflected on Table 3n, so as not to duplicate the number of individuals served.

State & Local Resources- In Development2, 3:

3. State Resources funding – In Development $70,000 previously allocated to NYC PC on Table 3h was reallocated to Pilgrim PC on Table 3e by combining with $74,160 Aid to

Localities funding- In Development on Table 3e.



New Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Allegany 0 6 6/5/2014 18 $157,758

HCBS Waiver Children Cattaraugus 12 6 11/1/2013 19 $157,758

HCBS Waiver Children Chautauqua 6 6 6/5/2014 26 $157,758

HCBS Waiver Children Erie 78 6 4/1/2014 28 $157,758

SUBTOTAL: 96 24 91 $631,032

Supported Housing Adult Cattaraugus 104 12 7/1/2014 23 104,700

Supported Housing Adult Chautauqua 86 12 8/1/2014 17 104,700

Supported Housing Adult Erie 863 66 8/1/2014 120 587,730

Supported Housing Adult Niagara 143 22 9/1/2014 37 195,910

SUBTOTAL: 1,196 112 197 $993,040


Mobile Integration Team Children Western NY

CPC Service

Area 10 FTEs 12/19/2014 865 $700,000

Clinic Expansion Children Western NY

CPC Service

Area 4 FTEs 2/5/2015 131 $280,000

Mobile Mental Health Juvenile

Justice Team

Children Western NY

CPC Service

Area 1 FTE 12/1/2015 40 $70,000

Mobile Integration Team Adult Buffalo PC

Service Area 7 FTEs 1/12/2016 353 $490,000

SUBTOTAL: 1,389 $1,540,000

Aid to Localities:

Peer Crisis Respite Center

(including Warm Line)

Adult Chautauqua

and

Cattaraugus 11/18/2015 196 $315,000

Mobile Transitional Support

Teams (2)

Adult Chautauqua

and

Cattaraugus 1/1/2015 647 $234,000



Adult Erie

1/26/2015 703 $353,424


Teams (3)

Adult Erie

1/26/2015 575 $431,000

Crisis Intervention Team Adults &

Children

Erie

1/1/2015 1,019 $191,318



Adult Niagara

12/1/2014 926 $256,258


Team

Adult Niagara

1/20/2015 236 $117,000

Community Integration Team -

Long Stay Team

Adult Erie

10/27/2016 85 $350,000

Diversion Program Adult Erie 1/12/2018 126 $424,712

Reintegration Enhanced

Support Program Adult Erie

Funding has been made available

on the county State Aid Letter,

and is effective April 1, 2018. $316,805

SUBTOTAL: 4,513 $2,989,517

TOTAL: 6,190 $6,153,589

Table 3f: Western NY Children's - Buffalo Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)




New Individuals

Served

Annualized

Reinvestment

Amount ($)

Supported Housing Adult Genesee 45 2 1/1/2016 4 17,810

Supported Housing Adult Livingston 38 2 2/1/2015 3 18,218

Supported Housing Adult Monroe 427 103 10/1/2014 192 938,227

Supported Housing Adult Orleans 25 6 7/1/2015 8 54,654

Supported Housing Adult Wayne 0 6 12/1/2014 10 54,654

Supported Housing Adult Wyoming 20 6 11/1/2014 10 52,350

SUBTOTAL: 555 125 227 $1,135,913


Mobile Integration Team Adult Rochester PC

Service Area 24 FTEs 10/30/2014 868 $1,680,000

OnTrackNY Expansion Adult Rochester PC


Clinic Expansion Adult Rochester PC


SUBTOTAL: 1,009 $2,145,440

Aid to Localities: Rochester PC


Peer Bridger Program Adult Genesee &

Orleans 6/4/2015 29 $30,468

Community Support Team Adult Rochester PC

Service Area 3/1/2015 177 $500,758

Peer Bridger Program Adult Livingston

Monroe

Wayne

Wyoming 2/1/2015 171 $262,032

Crisis Transitional Housing Adult Livingston 2/15/2015 42 $112,500

Crisis Transitional Housing Adult Orleans 7/30/2015 52 $112,500

Crisis Transitional Housing Adult Wayne 4/8/2015 62 $112,500

Crisis Transitional Housing Adult Wyoming 2/28/2015 55 $112,500

Peer Run Respite Diversion Adult Monroe 5/7/2015 903 $500,000

Assertive Community

Treatment Team

Adult Monroe

48


Medicaid* 7/1/2015 76 $390,388

Assertive Community

Treatment Team

Adult Monroe

48


Medicaid* 106 $390,388

Peer Support1

Adult Monroe $30,006

Enhanced Recovery Supports Adult Wyoming

9/1/2014 291 $51,836

Recovery Center Adult Genesee &

Orleans 5/7/2015 149 $217,124

Community Support Team -

Long Stay Team

Adult Monroe

5/1/2016 68 $350,000

SUBTOTAL: 2,181 $3,173,000

TOTAL: 3,417 $6,454,353

*Gross Medicaid projected $621,528 per ACT Team ($1,243,056)

Notes:

1. Peer support is an enhancement of the ACT model, and individuals served by the ACT Team also receive peer support.

1/15/2016

Table 3g: Rochester Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)




New Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Bronx 144 33 10/1/2013 57 $916,566

HCBS Waiver Children Kings 180 12 1/1/2014 53 $332,745

HCBS Waiver Children New York 132 6 6/1/2015 15 $167,385

HCBS Waiver Children Queens 108 12 10/1/2013 20 $332,745

SUBTOTAL: 564 63 145 $1,749,440

Supported Housing Adult Bronx 2,120 70 5/1/2015 67 1,218,350

Supported Housing Adult Kings 2,698 60 7/1/2016 37 1,044,300

Supported Housing Adult New York 1,579 104 3/1/2015 155 1,810,120

Supported Housing Adult Queens 1,887 70 12/1/2016 32 1,218,350

Supported Housing Adult Richmond 492 60 4/1/2016 47 1,044,300

SUBTOTAL: 8,776 364 338 $6,335,420


Mobile Integration Team Adult Queens 7 FTEs 3/21/2016 179 $490,000

Mobile Integration Team Adult New York 7 FTEs 12/23/2016 213 $490,000

Mobile Integration Team Children Bronx

Kings

Queens 7 FTEs 1/1/2017 339 $490,000

SUBTOTAL: 731 $1,470,000

Aid to Localities:

Respite Capacity Expansion Adult NYC N/A N/A 7/1/2015 1,367 $2,884,275

Pathway Home Program Adult NYC 4/1/2016 810 $3,546,663

Crisis Pilot Program (3 Year) Adult NYC 9/1/2016 710 $462,760

Hospital Based Care Transition

Team

Adult NYC

4/1/2017 79 $537,240

SUBTOTAL: 2,966 $7,430,938

$1,120,000

TOTAL: 4,180 $18,105,798

Notes:

1. State Resources funding – In Development $70,000 previously allocated to NYC PC on Table 3h was reallocated to Pilgrim PC on Table 3e by combining with $74,160 Aid to

Localities funding- In Development on Table 3e.

State Resources - In Development1:

Table 3h: New York City Psychiatric Centers

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)




New Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Orange 21 6 11/1/2013 31 $157,758

HCBS Waiver Children Rockland 24 6 6/5/2014 17 $165,360

SUBTOTAL: 45 12 48 $323,118

Supported Housing Adult Dutchess 229 20 12/1/2014 31 273,220

Supported Housing Adult Orange 262 36 10/1/2014 52 491,796

Supported Housing Adult Putnam 67 4 5/1/2015 6 60,936

Supported Housing Adult Rockland 173 19 7/1/2014 33 300,143

Supported Housing Adult Sullivan 61 10 11/1/2014 10 98,540

Supported Housing Adult Ulster 142 28 1/1/2015 36 297,416

Supported Housing Adult Westchester 907 28 4/1/2015 27 481,488

Supported Housing Adult Albany 276 11 3/1/2017 11 110,649

Supported Housing Adult Columbia 39 8 1/1/2017 10 80,472

Supported Housing Adult Greene 35 9 3/1/2015 See Table 3m1

90,531

Supported Housing Adult Rensselaer 125 10 6/1/2017 8 100,590

Supported Housing Adult Saratoga 50 6 5 60,354

Supported Housing Adult Schenectady 153 3 10/1/2015 See Table 3m1

30,177

Supported Housing Adult Schoharie 31 8 2/1/2017 10 80,472

Supported Housing Adult Warren &

Washington

54 8

11/1/2017 9 78,832

SUBTOTAL: 2,604 208 248 $2,635,616

State Resources:

Mobile Integration Team Adult Rockland PC


Mobile Integration Team Adult Capital District

PC Service

Area 6 FTEs 10/1/2016 69 $420,000

SUBTOTAL: 114 $700,000

Aid to Localities: Rockland PC


Hospital Diversion/Crisis Respite Adult Dutchess 2/12/2015 219 $200,000

Outreach Services Adult Orange 12/1/2014 24 $36,924

Outreach Services Children Orange 10/1/2014 468 $85,720

Advocacy/Support Services Adult Putnam 9/28/2015 33 $23,000

Self-Help Program Adult Putnam 2/1/2015 71 $215,000

Mobile Crisis Intervention Program2 Adults &

Children

Rockland

3/31/2015 1,873 $449,668

Hospital Diversion/ Transition

Program2

Adults &

Children

Sullivan

11/24/2014 1,513 $225,000

Mobile Crisis Services2 Adults &

Children

Ulster

2/9/2015 3,510 $400,000

Assertive Community Treatment

team expansion

Adult Ulster

20


Medicaid: 12/1/2014 110 $100,616

Outreach Services Adult Westchester 4/1/2015 91 $267,328

Crisis Intervention/ Mobile Mental

Health Team

Children Westchester

11/1/2014 170 $174,052

Family Engagement & Support

Services Program

Adults &

Children

Rockland

1/1/2017 419 $95,000

Albany 9/6/2016 33 $230,000

Schenectady 9/9/2016 12 $200,000

Dutchess 12/12/2016 17 $225,000

Orange 9/14/2016 24 $225,000

Rockland 8/17/2016 23 $225,000

Westchester 10/4/2016 11 $225,000

Dutchess 7/27/2017 43 $275,000

Westchester 9/19/2017 36 $189,048

Orange 9/18/2017 37 $100,000

Rockland 10/23/2017 36 $160,000

Sullivan 2/28/2018 24 $100,000

Ulster 10/2/2017 37 $81,976

Family Support Services Children Westchester 10/1/2017 45 $149,784

SUBTOTAL: 8,879 $4,658,116

$1,074,192

TOTAL: 9,289 $9,391,042

* Gross Medicaid projected $229,156

Notes:

Outreach Team - Long Stay Team Adult

Aid to Localities -In Development:

2. Mobile Crisis programs in Rockland, Sullivan and Ulster Counties are funded by the Rockland PC Aid to Localities funding and Stony-Lodge Rye Article 28 funding. The number of

newly served individuals is only reflected on the Rockland PC table so as not to duplicate the number of individuals served.

1. Greene and Schenectady Counties currently receive Stony-Lodge Rye Article 28 funding for supported housing, and utilization is reported on Table 3m. Additional supported

housing units were awarded to these counties through Rockland PC Aid to Localities. All utilization will continue to be reported on the Table 3m to prevent duplication.

ChildrenRespite Services Program

ChildrenHome Based Crisis Intervention

Services

Table 3i: Rockland and Capital District Psychiatric Centers

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)




New Individuals

Served

Annualized

Reinvestment

Amount ($)HCBS Waiver Children Cayuga 12 6 7/1/2014 16 $157,758

HCBS Waiver Children Cortland 6 6 7/1/2014 16 $157,758

HCBS Waiver Children Onondaga 42 6 4/1/2014 23 $157,758

SUBTOTAL: 60 18 55 $473,274

Supported Housing Adult Cayuga 61 7 1/1/2016 9 56,959

Supported Housing Adult Cortland 53 4 1/1/2016 5 32,548

Supported Housing Adult Fulton 30 3 2/1/2017 1 24,411

Supported Housing Adult Hamilton 4 3 1/1/2017 2 24,411

Supported Housing Adult Herkimer 30 1 1/1/2017 9 8,137

Supported Housing Adult Madison 28 4 4/1/2017 5 32,548

Supported Housing Adult Montgomery 37 3 1/1/2017 3 24,411

Supported Housing Adult Oneida 232 8 2/17/2017 25 65,096

Supported Housing Adult Onondaga 300 4 10/1/2017 4 32,548

Supported Housing Adult Oswego 62 5 12/1/2015 15 40,685

SUBTOTAL: 837 42 78 $341,754

State Resources:

Crisis/respite unit Children Hutchings PC

Service Area N/A 12 FTEs 11/5/2014 475 $840,000

OnTrackNY Expansion Adults &

Children

Hutchings PC

Service Area N/A 3 FTEs 8/1/2015 50 $228,400

SUBTOTAL: 525 $1,068,400

Aid to Localities: Hutchings PC


Children's Respite Program Children Cayuga 4/1/2017 $96,750

Regional Mobile Crisis Children Cayuga 4/1/2017 $430,555

Advocacy/Support Services

ProgramChildren

Cayuga4/1/2017

$99,695

Long Stay Reduction

Transition Team

Adult Onondaga

11/9/2016 11 $300,000

Hamilton 5/11/2018 34 $37,500

Herkimer 11/17/2017 22 $37,500

Fulton 11/1/2017 0 $37,500

Enhanced Child & Family

Support Services1

Children Montgomery

4/1/2017 496 $31,450

SUBTOTAL: 1,287 $1,070,950

$6,050

TOTAL: 1,945 $2,960,428

Notes:

Table 3j: Hutchings Psychiatric Center

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)


1. A portion of previously allocated Aid to Localities funding for Enhanced Child & Family Support Services in Montgomery County has been reprogrammed to Aid to Localities - In

Development for future planning.

Aid to Localities - In Development1:

Enhanced Outreach and

Clinical Support Services

Adults &

Children

724


Hospital Target Population County/Region

Annualized

Reinvestment

Amount

St. James Mercy Children and Adults

Allegany, Livingston,

Steuben $894,275

Medina Memorial Adults Niagara, Orleans $199,030

Holliswood/Stony Lodge/Mt. Sinai Children and Youth New York City $10,254,130

Stony Lodge & Rye Children and Adults Hudson River $4,650,831

LBMC/NSUH/PK Children and Adults Nassau, Suffolk $2,910,400

Subtotal: $18,908,666

Article 28 and 31 Hospital Reinvestment Summaries

Pursuant to Chapter 53 of the Laws of 2014 for services and expenses of the medical assistance program to

address community mental health service needs resulting from the reduction of psychiatric inpatient services.


Status Update

Start Up

Date

New

Individuals

Served

Annualized

Reinvestment

Amount ($)

Article 28: N/A

Intensive Intervention

Services

Adult Allegany

8/25/2014 128 $95,000

Post Jail Transition

Coordinator/Forensic

Therapist

Adults &

Children

Livingston

1/5/2015 1,339 $59,275

Enhanced Mobile Crisis

Outreach

Adults &

Children

Steuben

11/3/2014 1,296 $490,000

Intensive In-Home Crisis

Intervention (Tri-County)

Children Allegany

Livingston

Steuben 6/1/2015 147 $250,000

SUBTOTAL: 2,910 $894,275

Mental Hygiene Practioner to

handle crisis calls (late

afternoon and evenings)

Adults &

Children

Niagara

8/15/2014 208 $68,030

Enhanced Crisis Response Adults &

Children

Orleans

7/1/2014 772 $131,000

SUBTOTAL: 980 $199,030

TOTAL: 3,890 $1,093,305

St. James Mercy

Medina Memorial Hospital

Table 3k: Western Region Article 28 Hospital Reinvestment

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)



Start Up

Date

New

Individuals

Served

Annualized

Reinvestment

Amount ($)

HCBS Waiver Children Bronx 144 15 State Share of Medicaid: 2/1/2016 See Table 3h1

$418,500

Crisis Beds Children NYC 5 1/1/2018 34 $210,000

Rapid Response Mobile Children NYC 1/1/2014 301 $1,150,000

Family Advocates Children NYC 1/1/2014 709 $450,000

4.5 Rapid Response Teams Children NYC 4/28/2015 308 $1,989,569

Family Resource Center2 Children NYC 2/1/2016 500 $1,335,777

High Fidelity Wrap Around Children NYC $181,865

SUBTOTAL: 1,852 $5,735,711

Partial Hospitalization

Program & Day Treatment

Program (Bellevue)

Children NYC

State Share of Medicaid: 2/2/2015 200 $386,250

Home Based Crisis

Intervention Team (Bellevue)

Children NYC

11/1/2015 91 $300,000

Family Resource Center2 Children NYC 2/1/2016 See Note

2 $728,622

High Fidelity Wraparound Children NYC $185,128

SUBTOTAL: 291 $1,600,000

Mt. Sinai Partial

Hospitalization (15 slots)

Adult NYC

15 State Share of Medicaid: 1/28/2016 136 $303,966


Treatment Teams (68 slots

each)

Adult NYC

272 State Share of Medicaid: 10/3/2016 239 $1,855,694


Treatment Team (48 slots)

Adult NYC

48 State Share of Medicaid: 4/1/2016 49 $384,666

Expanded Respite Capacity3 Adult NYC See Table 3h

3$374,093

SUBTOTAL: 424 $2,918,419

TOTAL: 2,567 $10,254,130

Table 3l: New York City Region Article 28 Hospital Reinvestment

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)


2. The Family Resource Center is funded by the Holliswood Art. 28 reinvestment funding and Stony Lodge Art. 28 reinvestment funding. The number of newly served individuals

is only reflected in the Holliswood Reinvestment so as not to duplicate the number of individuals served.

Notes:

1. Waiver slots in Bronx County are funded by the NYC Aid to Localities reinvestment funding and Stony Lodge Article 28 funding. All waiver utilization is reported on the Table

3h - New York City to prevent duplication in the number of people served.

Holliswood Hospital

Stony Lodge Hospital

Mount Sinai Hospital

3. This program funding is blended between Article 28 and State PC reinvestment. The number of newly served individuals in this table is only reported on the Table 3h, to

prevent duplication in the number of people served.


Status Update

Start Up

Date

New

Individuals

Served

Annualized

Reinvestment

Amount ($)

Article 28: N/A

Albany 6 State Share of Medicaid: 12/1/2015 18 $157,704

Saratoga 3 State Share of Medicaid: 1/1/2015 21 $78,803

Warren 3 State Share of Medicaid: 1/1/2015 12 $78,803

Westchester 6 State Share of Medicaid: 1/1/2015 19 $157,704

SUBTOTAL: 70 $473,014

Article 28: N/A

Albany 2 9/1/2015 8 20,118

Greene 5 3/1/2015 16 50,295

Rensselaer 7 5/1/2015 12 70,413

Schenectady 7 10/1/2015 16 70,413

Columbia 7/1/2015 1,791 $180,636

Greene 7/1/2015 1,696 $203,859

Sullivan 11/24/2014 See Table 3i1

$81,447

Columbia 11/1/2015 22 $43,560

Greene 3/1/2015 4 $20,337

Columbia 3/30/2015 16 $15,750

Greene 3/30/2015 47 $65,670

Orange 6/30/2015 19 $30,000

Sullivan 4/1/2015 31 $25,000

Dutchess 3/1/2015 269 $25,000

Orange 3/20/2015 112 $60,000

Putnam 6/1/2015 11 $25,000

Westchester 6/1/2015 53 $136,460

Dutchess 2/12/2015 699 $60,000

Orange 6/17/2015 55 $30,000

Westchester 4/8/2015 153 $388,577

Orange 2/18/2015 174 $30,000

Schoharie 2/23/2015 445 $170,000

Adult Mobile Crisis Team (5

Counties: Rensselaer,

Saratoga, Schenectady,

Warren-Washington)

Adult Rensselaer

10/1/2015 816 $1,000,190

Capital Region Respite

Services (3 Counties: Albany,

Rensselaer, Schenectady)

Children Rensselaer

7/8/2015 50 $30,000

Rockland 3/30/2015 See Table 3i1 $400,000

Ulster 2/9/2015 See Table 3i1 $300,000

Mobile Crisis Team (Tri-

County: Saratoga, Warren-

Washington)

Children Warren

1/1/2016 463 $545,092

Home Based Crisis

Intervention (Tri-County:

Saratoga, Warren-

Washington)

Children Warren

11/26/2013 320 $100,000

SUBTOTAL: 7,298 $4,177,817

TOTAL: 7,368 $4,650,831

Mobile Crisis Services Adult

Table 3m: Hudson River Region Article 28 Hospital Reinvestment

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)


Stony Lodge/Rye Hospital

HCBS Waiver Slots Children

Supported Housing Adult

Self Help Program Adult

Family Support Services Children

Mobile Crisis Intervention Adult

Notes:

1. Mobile Crisis programs in Rockland, Sullivan and Ulster Counties are funded by the Rockland PC Aid to Localities funding and Stony Lodge-Rye Article 28 funding. The number

of newly served individuals is only reflected on the Rockland PC table so as not to duplicate the number of individuals served.

Hospital Diversion Respite Adult

Respite Services Children

Respite Services Adult


Status Update

Start Up

Date

New

Individuals

Served

Annualized

Reinvestment

Amount ($)

Article 28: N/A

HCBS Waiver Slots Children Suffolk 6 State Share of Medicaid: 31 $165,400

SUBTOTAL: 31 $165,400

Article 28:

(6) Mobile Residential

Support Teams

Adult Nassau

7/1/2015 405 $1,544,000

Mobile Crisis Team

Expansion1

Adults &

Children

Nassau &

Suffolk 8/1/2015 3,869 $212,000

Satellite Clinic Treatment

Services

Adult Nassau

State Share of Medicaid: 8/1/2016 69 $200,000

(2) OnSite Rehabilitation Adult Nassau 2/1/2016 93 $200,000

Help/Hot Line Expansion Adult Nassau 9/1/2018 298 $50,000

On-Site MH Clinic Children Nassau 9/1/2018 14 $50,000

(3) Clinic Treatment

Services

Adults &

Children

Nassau

8/18/2016 586 $375,000

Family Advocate Children Nassau 9/1/2017 513 $84,000

Peer Outreach2 Adult Suffolk See Table 3e $30,000

SUBTOTAL: 5,847 $2,745,000

TOTAL: 5,878 $2,910,400

*Gross Medicaid projected $420,800

Notes:

1. The Mobile Crisis programs in Nassau and Suffolk Counties are funded by Long Island Art. 28 reinvestment funding, Sagamore and Pilgrim PC Aid to Localities

funding. The number of newly served individuals is only reflected on the Long Island Art. RIV table (Table 3n) so as not to duplicate the number of individuals

served.

Long Beach Medical Center/North Shore University Hospital/Partial Hospitalization

Program Operated by Pederson-Krag

Table 3n: Long Island Region Article 28 Hospital Reinvestment

Service

Target

Population County

Prior

Capacity

Reinvestment

Expansion

(units)


2. Long Island Article 28 reinvestment funding for Peer Outreach program on Table 3n is blended with Pilgrim PC Aid to Localities reinvestment funding for

Hospital Alternative respite program on Table 3e. The number of newly served individuals on Table 3n is only reported on Table 3e, to prevent duplication in the

number of people served.


Table 4: NYS OMH State Psychiatric Center Inpatient Discharge Metrics

Readmission2

ER Utilization3

For discharge cohort (Jan, 2018-Mar,

2018), % Having Psychiatric

Readmission within 30 days

For discharge cohort (Jan, 2018-Mar, 2018),

% Utilizing Psychiatric Emergency Room

within 30 days

Adult

Bronx 15.2% 18.8%*

Buffalo 18.8% 5.9%*

Capital District 11.8% 24.0%

Creedmoor 18.0% 5.9%

Elmira 12.5% 0.0%*

Greater Binghamton 13.6% 0.0%*

Hutchings 20.0% 22.2%*

Kingsboro 11.1% 11.8%*

Manhattan 22.2% 9.7%

Pilgrim 7.9% 17.6%*

Rochester 8.3% 11.1%*

Rockland 11.1% 6.7%*

South Beach 16.4% 17.5%

St. Lawrence 50.0%* 0.0%*

Washington Heights 14.7% 10.0%

Total 15.9% 11.4%

Children & Youth

Elmira 7.1%* 15.4%*

Greater Binghamton 4.3% 0.0%*

Hutchings 6.7% 16.0%

Mohawk Valley 7.2% 10.9%

NYC Children's Center 6.5% 8.9%

Rockland CPC 2.9% 13.8%

Sagamore CPC 0.0% 9.1%

South Beach 25.0%* 50.0%*

St. Lawrence 7.9% 11.3%

Western NY CPC 3.6% 4.5%

Total 6.0% 10.6%

Forensic

Central New York 0.0% 0.0%

Kirby 11.4% 0.0%

Mid-Hudson 7.1% 3.7%

Rochester 0.0%* 0.0%*

Total 4.7% 1.2%

Updated as of January 25, 2019

*Note this rate may not be stable due to small denominator (less than 20 discharges in the denominator).

3. ER utilization was identified using Medicaid claims and encounters only. The numerator included the first Psychiatric ER/CPEP event

that occurred within thirty days post discharge. The denominator for this measure was based on State inpatient discharges to the

community. The discharge cohort has a 6-month lag to allow time for completion of Medicaid claim submissions. The discharges that

were no longer qualified for Medicaid services (lost Medicaid eligibility, had Medicare or third party insurance) were excluded from the

discharge cohort.

State Inpatient Facilities1

Notes:

1. Research units and Sexual Offender Treatment Programs (SOTP) were excluded.

2. Readmissions were defined as State PC and Medicaid (Article 28 /31) psychiatric inpatient readmission events occurring within 1 to

30 days after the State PC discharge. The first readmission within the 30 days window was counted. The denominator for this measure

was based on State inpatient discharges to the community. The discharge cohort has a 6-month lag to allow time for completion of

Medicaid claim submissions. The discharges that were no longer qualified for Medicaid services (lost Medicaid eligibility, had Medicare

or third party insurance) were excluded from the discharge cohort but who had a state operated service in the 3 months post discharge

were retained in the discharge cohort.

Metrics Post Discharge


Table 5: General and Private Hospital 30-Day Inpatient Readmission and ER Utilization Rates1

Total Adults Child Total Adult6

Child Total Adult Child

Central Broome United Health Services Hospitals, Inc. Article 28 56 56 0 10.4% 10.4% . 11.0% 11.0% .

Central Cayuga Auburn Community Hospital Article 28 14 14 0 16.1% 16.1% . 12.5% 12.5% .

Central Clinton Champlain Valley Physicians Hospital Med Ctr.8

Article 28 30 18 12 15.3% 9.1% 25.0% 6.9% 2.3% 14.3%

Central Cortland Cortland Regional Medical Center, Inc. Article 28 11 11 0 2.9% 2.9% . 8.6% 8.6% .

Central Franklin Adirondack Medical Center Article 28 12 12 0 0.0% * 0.0% * . 0.0% * 0.0% * .

Central Jefferson Samaritan Medical Center Article 28 32 32 0 12.7% 12.7% . 7.3% 7.3% .

Central Montgomery St. Mary's Healthcare Article 28 20 20 0 11.6% 11.6% . 5.8% 5.8% .

Central Oneida Faxton - St. Luke's Healthcare Article 28 26 26 0 21.0% 21.0% . 15.0% 15.0% .

Central Oneida Rome Memorial Hospital, Inc. Article 28 12 12 0 16.7% * 16.7% * . 0.0% * 0.0% * .

Central Oneida St. Elizabeth Medical Center Article 28 24 24 0 15.5% 15.5% . 12.4% 12.4% .

Central Onondaga St. Joseph's Hospital Health Center Article 28 30 30 0 12.5% 12.5% . 20.0% 20.0% .

Central Onondaga SUNY Health Science Center-University Hospital Article 28 49 49 0 16.1% 16.1% . 17.3% 17.3% .

Central Oswego Oswego Hospital, Inc. Article 28 28 28 0 12.9% 12.9% . 6.5% 6.5% .

Central Otsego Bassett Healthcare Article 28 20 20 0 21.2% 21.2% . 9.6% 9.6% .

Central Saint Lawrence Claxton-Hepburn Medical Center Article 28 28 28 0 20.7% 20.7% . 11.0% 11.0% .

Hudson Albany Albany Medical Center Article 28 26 26 0 23.6% 23.6% . 13.8% 13.8% .

Hudson Columbia Columbia Memorial Hospital Article 28 22 22 0 15.7% 15.7% . 21.6% 21.6% .

Hudson Dutchess Westchester Medical /Mid-Hudson Division Article 28 40 40 0 20.6% 20.6% . 20.3% 20.3% .

Hudson Orange Bon Secours Community Hospital Article 28 24 24 0 20.0% 20.0% . 17.5% 17.5% .

Hudson Orange Orange Regional Medical Center - Arden Hill Hospital Article 28 30 30 0 9.1% 9.1% . 5.5% 5.5% .

Hudson Putnam Putnam Hospital Center Article 28 20 20 0 23.9% 23.9% . 21.7% 21.7% .

Hudson Rensselaer Northeast Health - Samaritan Hospital Article 28 63 63 0 20.5% 20.5% . 11.8% 11.8% .

Hudson Rockland Nyack Hospital Article 28 26 26 0 22.2% 22.2% . 13.3% 13.3% .

Hudson Saratoga FW of Saratoga, Inc. Article 31 88 31 57 9.7% 8.3% 10.4% 4.4% 2.4% 5.5%

Hudson Saratoga The Saratoga Hospital Article 28 16 16 0 15.5% 15.5% . 20.7% 20.7% .

Hudson Schenectady Ellis Hospital Article 28 52 36 16 16.5% 19.2% 12.0% 19.8% 21.8% 16.3%

Hudson Sullivan Catskill Regional Medical Center Article 28 18 18 0 18.4% 18.4% . 16.3% 16.3% .

Hudson Ulster Health Alliance Hospital Mary's Ave Campus Article 28 40 40 0 14.3% 14.3% . 27.3% 27.3% .

Hudson Warren Glens Falls Hospital Article 28 30 30 0 25.2% 25.2% . 15.5% 15.5% .

Hudson Westchester Four Winds, Inc. Article 31 178 28 150 10.4% 14.9% 9.9% 10.5% 8.5% 10.7%

Hudson Westchester Montefiore Mount Vernon Hospital, Inc. Article 28 22 22 0 8.3% 8.3% . 13.3% 13.3% .

Hudson Westchester New York Presbyterian Hospital9

Article 28 250 205 45 15.3% 16.7% 10.5% 11.3% 11.1% 11.6%

Hudson Westchester Northern Westchester Hospital Center Article 28 15 15 0 16.7% * 16.7% * . 22.2% * 22.2% * .

Hudson Westchester Phelps Memorial Hospital Center Article 28 22 22 0 19.2% 19.2% . 7.7% 7.7% .

Hudson Westchester St Joseph's Medical Center Article 28 149 136 13 21.5% 23.2% 5.0% 12.0% 12.4% 7.5%

Hudson Westchester Westchester Medical Center Article 28 101 66 35 14.2% 14.3% 0.0% * 11.2% 11.3% 0.0% *

Long Island Nassau Mercy Medical Center Article 28 39 39 0 24.5% 24.5% . 20.8% 20.8% .

Long Island Nassau Nassau Health Care Corp/Nassau Univ Med Ctr Article 28 128 106 22 12.7% 15.3% 2.8% 9.2% 8.8% 11.1%

Long Island Nassau North Shore University Hospital @Syosset10

Article 28 20 20 0 15.0% 15.0% . 5.0% 5.0% .

Long Island Nassau South Nassau Communities Hospital Article 28 36 36 0 31.4% 31.4% . 18.1% 18.1% .

Metrics Post Discharge4

Region County2

Hospital Name3

Auspice

Capacity (as of 12/1/18)

Readmission5

ER Utilization7




For discharge cohort (Jan, 2018-

Mar, 2018), % Utilizing Psychiatric

Emergency Room within 30 days






Region County2

Hospital Name3

Auspice


Readmission5

ER Utilization7







Long Island Suffolk Brookhaven Memorial Hospital Medical Center Article 28 20 20 0 21.4% 21.4% . 21.4% 21.4% .

Long Island Suffolk Brunswick Hospital Center, Inc.11

Article 31 124 87 37 21.6% 27.3% 12.0% 21.6% 22.5% 20.0%

Long Island Suffolk Eastern Long Island Hospital Association Article 28 23 23 0 17.5% 17.5% . 12.3% 12.3% .

Long Island Suffolk Huntington Hospital Article 28 21 21 0 7.1% 7.1% . 14.3% 14.3% .

Long Island Suffolk John T. Mather Memorial Hospital Article 28 37 27 10 13.0% 12.1% 18.2% * 17.4% 15.5% 27.3% *

Long Island Suffolk St. Catherine's of Siena Hospital Article 28 42 42 0 22.7% 22.7% . 25.3% 25.3% .

Long Island Suffolk State University of NY at Stony Brook Article 28 40 30 10 16.4% 20.2% 6.3% 17.2% 19.0% 12.5%

Long Island Suffolk The Long Island Home12

Article 31 150 98 52 13.8% 17.9% 9.3% 20.4% 24.2% 16.3%

NYC Bronx Bronx-Lebanon Hospital Center13

Article 28 104 79 25 22.4% 24.3% 13.8% 28.0% 29.2% 23.0%

NYC Bronx Montefiore Medical Center Article 28 55 55 0 13.1% 13.1% . 12.7% 12.7% .

NYC Bronx NYC-HHC Jacobi Medical Center Article 28 107 107 0 18.1% 18.1% . 18.1% 18.1% .

NYC Bronx NYC-HHC Lincoln Medical & Mental Health Ctr. Article 28 60 60 0 21.0% 21.0% . 18.8% 18.8% .

NYC Bronx NYC-HHC North Central Bronx Hospital Article 28 70 70 0 15.4% 15.4% . 18.4% 18.4% .

NYC Bronx St. Barnabas Hospital Article 28 49 49 0 18.0% 18.0% . 20.9% 20.9% .

NYC Kings Brookdale Hospital Medical Center Article 28 61 52 9 19.8% 22.2% 13.5% 26.5% 29.7% 18.0%

NYC Kings Interfaith Medical Center, Inc. Article 28 120 120 0 24.8% 24.8% . 22.9% 22.9% .

NYC Kings Kingsbrook Jewish Medical Center14

Article 28 55 55 0 28.3% 28.3% . 26.7% 26.7% .

NYC Kings Maimonides Medical Center Article 28 70 70 0 22.4% 22.4% . 15.6% 15.6% .

NYC Kings NYC-HHC Coney Island Hospital Article 28 64 64 0 17.3% 17.3% . 14.7% 14.7% .

NYC Kings NYC-HHC Kings County Hospital Center Article 28 205 160 45 16.9% 17.7% 12.1% 22.5% 23.9% 13.8%

NYC Kings NYC-HHC Woodhull Medical & Mental Health Ctr.15

Article 28 112 112 0 23.3% 23.3% . 23.0% 23.0% .

NYC Kings New York Methodist Hospital Article 28 50 50 0 21.3% 21.3% . 27.6% 27.6% .

NYC Kings New York University Hospitals Center Article 28 35 35 0 20.0% 20.0% . 16.3% 16.3% .

NYC New York Beth Israel Medical Center Article 28 92 92 0 25.0% 25.0% . 20.7% 20.7% .

NYC New York Lenox Hill Hospital Article 28 27 27 0 30.8% 30.8% . 34.6% 34.6% .

NYC New York Mount Sinai Medical Center16

Article 28 46 46 0 17.3% 17.3% . 5.1% 5.1% .

NYC New York NYC-HHC Bellevue Hospital Center Article 28 330 285 45 22.4% 22.0% 24.4% 20.3% 21.6% 13.8%

NYC New York NYC-HHC Harlem Hospital Center Article 28 52 52 0 26.0% 26.0% . 31.1% 31.1% .

NYC New York NYC-HHC Metropolitan Hospital Center Article 28 122 104 18 31.2% 33.0% 14.9% 22.9% 24.9% 4.3%

NYC New York New York Gracie Square Hospital, Inc.17

Article 31 133 133 0 15.8% 15.8% . 17.7% 17.7% .

NYC New York New York Presbyterian Hospital Article 28 91 91 0 17.8% 17.8% . 17.1% 17.1% .

NYC New York New York University Hospitals Center Article 28 22 22 0 20.0% 20.0% . 16.3% 16.3% .

NYC New York St. Luke's-Roosevelt Hospital Center Article 28 110 93 17 19.0% 19.8% 17.1% 19.8% 20.9% 17.1%

NYC Queens Episcopal Health Services Inc. Article 28 43 43 0 18.8% 18.8% . 18.8% 18.8% .

NYC Queens Jamaica Hospital Medical Center18

Article 28 56 56 0 24.7% 24.7% . 31.4% 31.4% .

NYC Queens Long Island Jewish Medical Center Article 28 234 212 22 16.6% 18.3% 2.0% 15.5% 15.9% 12.0%

NYC Queens NYC-HHC Elmhurst Hospital Center Article 28 177 151 26 15.4% 16.9% 6.3% 16.9% 17.6% 12.5%

NYC Queens NYC-HHC Queens Hospital Center19

Article 28 53 53 0 18.5% 18.5% . 24.5% 24.5% .

NYC Queens New York Flushing Hospital and Medical Center Article 28 18 18 0 33.9% 33.9% . 37.1% 37.1% .

NYC Richmond Richmond University Medical Center Article 28 65 55 10 10.3% 10.7% 9.1% 50.6% 50.9% 50.0%

NYC Richmond Staten Island University Hospital 20

Article 28 35 35 0 17.8% 17.8% . 27.4% 27.4% .

Western Cattaraugus Olean General Hospital Article 28 14 14 0 12.3% 12.3% . 2.7% 2.7% .






Region County2

Hospital Name3

Auspice


Readmission5

ER Utilization7







Western Chautauqua TLC Health Network Article 28 20 20 0 2.8% 2.8% . 5.6% 5.6% .

Western Chautauqua Woman's Christian Assoc. of Jamestown, NY Article 28 40 30 10 13.9% 10.0% 19.7% 12.6% 12.2% 13.1%

Western Chemung St. Joseph's Hospital Article 28 25 25 0 13.8% 13.8% . 11.2% 11.2% .

Western Erie Brylin Hospitals, Inc. Article 31 88 68 20 8.3% 5.3% 11.8% 6.9% 5.3% 8.8%

Western Erie Erie County Medical Center21

Article 28 160 144 16 10.1% 10.2% 8.8% 13.7% 13.6% 14.7%

Western Monroe Rochester General Hospital Article 28 30 30 0 17.9% 17.9% . 8.3% 8.3% .

Western Monroe The Unity Hospital of Rochester Article 28 40 40 0 15.8% 15.8% . 10.5% 10.5% .

Western Monroe Univ of Roch Med Ctr/Strong Memorial Hospital Article 28 93 66 27 8.3% 8.0% 8.8% 16.1% 13.2% 23.5%

Western Niagara Eastern Niagara Hospital, Inc. Article 28 12 0 12 18.8% . 18.8% 12.5% . 12.5%

Western Niagara Niagara Falls Memorial Medical Center Article 28 54 54 0 15.7% 15.7% . 12.7% 12.7% .

Western Ontario Clifton Springs Hospital and Clinic Article 28 18 18 0 6.3% * 6.3% * . 31.3% * 31.3% * .

Western Tompkins Cayuga Medical Center at Ithaca, Inc. Article 28 26 20 6 11.1% 6.5% 21.4% * 8.9% 6.5% 14.3% *

Western Wayne Newark-Wayne Community Hospital, Inc. Article 28 16 16 0 11.1% 11.1% . 22.2% 22.2% .

Western Wyoming Wyoming County Community Hospital Article 28 12 12 0 10.3% 10.3% . 15.4% 15.4% .

Western Yates Soldiers & Sailors Memorial Hospital Article 28 10 10 0 10.0% * 10.0% * . 10.0% * 10.0% * .

Statewide Total 5,885 5,118 767 18.2% 19.2% 11.9% 18.1% 18.7% 14.2%

Updated as of Jan 29, 2019

Source: Concerts, Medicaid, MHARS

Notes:

17. Change at New York Gracie Square Hospital, Inc. was reduced by 24 adult bed from 157 to 133 effective on 9/15/2017.

19. Change at NYC-HHC Queens Hospital Center was reduced by 18 adult bed from 71 to 53 effective on 10/16/2017.

20. Change at Staten Island University Hospital was reduced by 29 adult bed from 64 to 35 due to one of units has been functionally closed and effective on 7/15/2016.

1. Private (Article 31) hospitals are classified as Institutes for Mental Diseases (IMD), and as such, are not reimbursed by Medicaid for inpatient treatment in their facilities for persons aged 22-64.

2. Data are presented by county of discharging hospital location and age group (child or adult). If an entity operates more than one hospital and county is not available on the records (e.g., managed care encounters), the discharges and readmissions are assigned to one of the

hospitals.

3. Hospitals that closed prior to 12/1/2018 are excluded.

4. The denominators for the metrics were based on discharges to the community. The discharge cohort has a 6-month lag to allow time for completion of Medicaid claim submissions. The discharges that were no longer qualified for Medicaid services (lost Medicaid eligibility,

had Medicare or third party insurance) were excluded from the discharge cohort.

5. Readmissions were defined as State PC and Medicaid psychiatric (Article 28 /31) inpatient events occurring within 1 to 30 days after the Article 28 /31 discharge. The readmission was only counted once.

*Note: This rate may not be stable due to small denominator (less than 20 discharges in the denominator).

8. Change at Champlain Valley Physicians Hospital Med Ctr. was reduced by 4 adult beds (from 22 to 18) effective on 5/25/2017.

16. Change at Mount Sinai Medical Center was reduced by 30 adult bed from 76 to 46 effective on 7/1/2016.

6. When the psychiatric unit is a child or adolescent unit, persons aged 21 or younger are counted as a child. For adult units, persons aged 16 or older are counted as adults.

7. ER data were extracted from Medicaid claims and encounters only. The numerator included the first Psychiatric ER/CPEP event that occurred within thirty days post discharge.

11. Changes at Brunswick Hospital Center, Inc. were expended by 8 adult bed from 79 to 87 and reduced by 8 child beds from 45 to 37 effective on 9/9/2016.

10. North Shore University Hospital @ Syosset was not appearing in this report prior to June 2017, due to a Medicaid data matching issue that has now been resolved.

13. Change at Bronx-Lebanon Hospital Center was expanded by 6 adult bed from 73 to 79 effective on 10/20/2017.

9. Change at New York Presbyterian Hospital adult capacity was reduced by 2 bed from 207 to 205 effective on 11/7/2017.

15. Change at NYC-HHC Woodhull Medical & Mental Health Ctr. Was reduced by 23 adult bed from 135 to 112 effective on 11/30/2017.

21. Change at Erie County Medical Center was expanded by 24 adult non-operational beds from 120 to 144 due to consolidation of services from Kaleida hospital effective on July 2017. However, these 24 non-operational beds were just entered in Concerts in June, 2018 so they

are not captured in the overall capacity previously.

12. Changes at The Long Island Home were reduced by 43 adult bed from 141 to 98 and reduced by 13 child beds from 65 to 52 effective on 8/6/2018.

14. Change at Kingsbrook Jewish Medical Center was reduced by 3 adult bed from 58 to 55 effective on 10/15/2018.

18. Change at Jamaica Hospital Medical Center was expanded by 4 adult bed from 52 to 56 effective on 12/22/2017. However, this change was updated in Concerts on 3/20/2018, so they are not captured in the overall capacity previously.


Glossary of Services

1. Supported Housing: Supported Housing is a category of community-based housing that is

designed to ensure that individuals who are seriously and persistently mentally ill (SPMI) may

exercise their right to choose where they are going to live, taking into consideration the recipient’s

functional skills, the range of affordable housing options available in the area under consideration,

and the type and extent of services and resources that recipients require to maintain their

residence with the community. Supported Housing is not as much considered a “program” which

is designed to develop a specific number of beds; but rather, it is an approach to creating housing

opportunities for people through the development of a range of housing options, community

support services, rental stipends, and recipient specific advocacy and brokering. As such, this

model encompasses community support and psychiatric rehabilitation approaches.

The unifying principle of Supported Housing is that individual options in choosing preferred long

term housing must be enhanced through:

• Increasing the number of affordable options available to recipients;

• Ensuring the provision of community supports necessary to assist recipients in

succeeding in their preferred housing and to meaningfully integrate recipients into the

community; and

• Separating housing from support services by assisting the resident to remain in the

housing of his choice while the type and intensity of services vary to meet the changing

needs of the individual.

2. Home and Community Based Services Waiver (HCBS): HCBS was developed as a response

to experience and learning gained from other state and national grant initiatives. The goals of the

HCBS waiver are to:

• Enable children to remain at home, and/or in the community, thus decreasing institutional

placement.

• Use the Individualized Care approach to service planning, delivery and evaluation. This

approach is based on a full partnership between family members and service providers.

Service plans focus upon the unique needs of each child and builds upon the strengths of

the family unit.

• Expand funding and service options currently available to children and adolescents with a

diagnosis of serious emotional disturbance and their families.

• Provide services that promote better outcomes and are cost-effective.

The target population of children eligible for the waiver are children with a diagnosis of serious

emotional disturbance who without access to the waiver would be in psychiatric institutional

placement. Parent income and resources are not considered in determining a child's eligibility.

The HCBS waiver includes six new services not otherwise available in Medicaid:

• Individualized Care Coordination includes the components of intake and screening,

assessment of needs, service plan development, linking, advocacy, monitoring and

consultation.


• Crisis Response Services are activities aimed at stabilizing occurrences of child/family

crisis where it arises.

• Intensive In-home Services are ongoing activities aimed at providing intensive

interventions in the home when a crisis response service is not enough.

• Respite Care are activities that provide a needed break for the family and the child to

ease the stress at home and improve family harmony.

• Family Support Services are activities designed to enhance the ability of the child to

function as part of a family unit and to increase the family's ability to care for the child in

the home and in community based settings.

• Skill Building Services are activities designed to assist the child in acquiring,

developing and addressing functional skills and support, both social and environmental.

3. Mobile Integration Teams (MIT): Mobile Integration Teams provide an array of servicesdelivered by multidisciplinary professionals and paraprofessionals to successfully maintain eachperson in his or her home or community. The intent of this program is to address the social,emotional, behavioral and mental health needs of the recipients and their families to prevent anindividual from needing psychiatric hospitalization. Examples of services include, but are notlimited to, health teaching, assessment, skill building, psychiatric rehabilitation and recoverysupport, in-home respite, peer support, parent support and skills groups, crisis services, linkageand referral, outreach and engagement. The population to be served includes children andadolescents, their families, and adults. The services provided by this team can be provided in anysetting, including an individual's residence, schools, as well as inpatient or outpatient treatmentsettings.

4. Respite Services: Temporary services (not beds) provided by trained staff in the consumer’s

place of residence or other temporary housing arrangement. Includes custodial care for a

disabled person in order that primary care givers (family or legal guardian) may have relief from

care responsibilities. The purpose of respite services is to provide relief to the primary care

provider, allow situations to stabilize and prevent hospitalizations and/or longer term placements

out of the home. Maximum Respite Care services per Consumer per year are 14 days.

5. Outreach: Outreach programs/services are intended to engage and/or assess individuals

potentially in need of mental health services. Outreach programs/services are not crisis services.

Examples of applicable services are socialization, recreation, light meals, and provision of

information about mental health and social services. Another type of service within this program

code includes off-site, community based assessment and screening services. These services can

be provided at forensic sites, a consumer’s home, other residential settings, including homeless

shelters, and the streets.

6. Assertive Community Treatment (ACT) Program: ACT Teams provide mobile intensive

treatment and support to people with psychiatric disabilities. The focus is on the improvement of

an individual's quality of life in the community and reducing the need for inpatient care, by

providing intense community-based treatment services by an interdisciplinary team of mental

health professionals. Building on the successful components of the Intensive Case Management

(ICM) program, the ACT program has low staff-outpatient ratios; 24-hour-a-day, seven-day-per-

week availability; enrollment of consumers, and flexible service dollars. Treatment is focused on

individuals who have been unsuccessful in traditional forms of treatment.

7. Advocacy/Support Services: Advocacy/support services may be individual advocacy or

systems advocacy (or a combination of both). Examples are warm lines, hot lines, teaching daily


living skills, providing representative payee services, and training in any aspect of mental health

services. Individual advocacy assists consumers in protecting and promoting their rights,

resolving complaints and grievances, and accessing services and supports of their choice.

Systems advocacy represent the concerns of a class of consumers by identifying patterns of

problems and complaints and working with program or system administrators to resolve or

eliminate these problems on a systemic, rather than individual basis.

8. Intensive Case Management (ICM): In addition to providing the services in the general Targeted

Case Management program description above, ICM is set at a case manager/client ratio of 1:12.

Medicaid billing requirements for the Traditional ICM model requires a minimum of four (4) 15

minute face-to-face contacts per individual per month. For programs serving Children and

Families, one contact may be collateral. The Flexible ICM model requires a minimum of two (2)

15 minute minimum face-to-face contacts per individual, per month but must maintain a minimum

aggregate of 4 face-to-face contacts over the entire caseload. For programs serving Children and

Families, 25% of the aggregate contacts can be collaterals.

9. Crisis Intervention: Crisis intervention services, applicable to adults, children and adolescents,

are intended to reduce acute symptoms and restore individuals to pre-crisis levels of functioning.

Examples of where these services may be provided include emergency rooms and residential

settings. Provision of services may also be provided by a mobile treatment team, generally at a

consumer’s residence or other natural setting (not at an in-patient or outpatient treatment setting).

Examples of services are screening, assessment, stabilization, triage, and/or referral to an

appropriate program or programs. This program type does not include warm lines or hot lines.

10. Non-Medicaid Care Coordination: Activities aimed at linking the consumer to the service

system and at coordinating the various services in order to achieve a successful outcome. The

objective of care coordination in a mental health system is continuity of care and service.

Services may include linking, monitoring and case-specific advocacy. Care Coordination Services

are provided to enrolled consumers for whom staff is assigned a continuing care coordination

responsibility. Thus, routine referral would not be included unless the staff member making the

referral retains a continuing active responsibility for the consumer throughout the system of

service. Persons with Medicaid may receive services from this program, however the program

does not receive reimbursement from Medicaid.

11. Recovery Center: A program of peer support activities that are designed to help individuals with

psychiatric diagnosis live, work and fully participate in communities. These activities are based on

the principle that people who share a common condition or experience can be of substantial

assistance to each other. Specific program activities will: build on existing best practices in self-

help/peer support/mutual support; incorporate the principles of Olmstead; assist individuals in

identifying, remembering or discovering their own passions in life; serve as a clearinghouse of

community participation opportunities; and then support individuals in linking to those community

groups, organizations, networks or places that will nurture and feed an individual’s passions in

life. Social recreation events with a focus on community participation opportunities will be the

basis for exposing individuals to potential passion areas through dynamic experiences, not

lectures or presentations.

12. Self Help Program: To provide rehabilitative and support activities based on the principle that

people who share a common condition or experience can be of substantial assistance to each

other. These programs may take the form of mutual support groups and networks, or they may be

more formal self-help organizations that offer specific educational, recreational, social or other

program opportunities.


13. Clinic Treatment: A clinic treatment program shall provide treatment designed to minimize the

symptoms and adverse effects of illness, maximize wellness, and promote recovery. A clinic

treatment program for adults shall provide the following services: outreach, initial assessment

(including health screening), psychiatric assessment, crisis intervention, injectable psychotropic

medication administration (for clinics serving adults), psychotropic medication treatment,

psychotherapy services, family/collateral psychotherapy, group psychotherapy, and complex care

management. The following optional services may also be provided: developmental testing,

psychological testing, health physicals, health monitoring, and psychiatric consultation. A clinic

treatment program for children shall provide the following services: outreach, initial assessment

(including health screening), psychiatric assessment, crisis intervention, psychotropic medication

treatment, psychotherapy services, family/collateral psychotherapy, group psychotherapy, and

complex care management. The following optional services may also be provided:

developmental testing, psychological testing, health physicals, health monitoring, psychiatric

consultation, and injectable psychotropic medication administration.

14. Home-Based Crisis Intervention: The Home-Based Crisis Intervention Program is a clinically

oriented program with support services by a MSW or Psychiatric Consultant which assists

families with children in crisis by providing an alternative to hospitalization. Families are helped

through crisis with intense interventions and the teaching of new effective parenting skills. The

overall goal of the program is to provide short-term, intensive in-home crisis intervention services

to a family in crisis due to the imminent risk of their child being admitted to a psychiatric hospital.

The target population for the HBCI Program is families with a child or adolescent ages 5 to 17

years of age, who are experiencing a psychiatric crisis so severe that unless immediate, effective

intervention is provided, the child will be removed from the home and admitted to a psychiatric

hospital. Families referred to the program are expected to come from psychiatric emergency

services.

15. Crisis Housing/Beds (Adult): Non-licensed residential program, or dedicated beds in a licensed

program, which provide consumers a homelike environment with room, board and supervision in

cases where individuals must be removed temporarily from their usual residence.

16. Children & Youth Crisis/Respite: The intent of the crisis/respite program is to provide a short-

term, trauma-sensitive, safe and therapeutic living environment, and crisis support to children and

adolescents with serious emotional disturbances, their families and residential service providers.

The goal of the program is to:

• Stabilize the crisis situation and support the family or service provider's efforts to maintain the child in his or her current residence;

• Provide immediate access to treatment services;

• Increase engagement with peer and family support services;

• Improve the family/caregiver’s ability to respond to the environmental/social stressors that precipitated the need for respite; and

• Decrease the inappropriate use of emergency departments, inpatient hospitalizations and/or other out-of-home placements.

This program is intended to be an opportunity to provide intense support and guidance to the youth and their family/caregivers so as to prevent a reoccurrence of the situation preceding the admission.

17. Transportation: The provision of transportation to and from facilities or resources specified in the

Consumer's individual treatment plan as a necessary part of his/her service for mental disability.

This includes all necessary supportive services for full and effective integration of the Consumer

into community life.


18. Flexible Recipient Service Dollars: Flexible Recipient Service Dollars are not based on a

particular fiscal model and are available to provide for a recipient’s emergency and non-

emergency needs. These funds are to be used as payment of last resort. The use of the service

dollars should include participation of the recipient of services, who should play a significant role

in the planning for, and the utilization of, service dollars. Services purchased on behalf of a

recipient, such as Respite or Crisis Services, should be reported using this Service Dollar

program code. Examples of services may include housing, food, clothing, utilities, transportation

and assistance in educational, vocational, social or recreational and fitness activities, security

deposits, respite, medical care, crisis specialist, homemakers and escorts. This program code

cannot be allocated for AHSCM, ICM, SCM, BCM, ACT, RTF Transition Coordinators or Home

and Community Based Waiver Services. Agency administrative costs allocated to the operating

costs of this program via the Ratio Value allocation methodology are redistributed to other OMH

programs in the CFR.

19. Family Support Services: Family support programs provide an array of formal and informal services to support and empower families with children and adolescents having serious emotional disturbances. The goal of family support is to reduce family stress and enhance each family's ability to care for their child. To do this, family support programs operate on the principles of individualized care and recognizing every child and family is unique in their strengths and needs. Connecting family members to other families with children with serious emotional problems helps families to feel less isolated and identify their own strengths. Family support programs ideally provide the following four core services: family/peer support, respite, advocacy, and skill building/educational opportunities.

20. OnTrackNY: OnTrackNY program is intended for early identification of psychotic symptoms and the development of early intervention strategies to mitigate the onset of psychotic disorders. These programs generally focus on serving transition-aged youth and young adults experiencing their first episode of psychosis.

21. On-Site Rehabilitation: Program objective is to assist mentally ill adults living in adult congregate care settings, supervised or supported living arrangements to achieve their treatment and community living rehabilitation goals. Services include one or a combination of:

(1) consumer self-help and support interventions: (2) community living; (3) academic and/or social leisure time rehabilitation training and support services.

Services are provided either at the residential location of the resident or in the natural or provider-operated community and are provided by a team that is either located at the residential site or which functions as a mobile rehabilitation team traveling from site to site.

22. Pathway Home Teams: Pathway Home teams are multi-disciplinary, staffed by masters-level

clinicians, case managers, registered nurses, and peers. Teams follow the evidence-based

practice of the critical time intervention model of care, engaging clients intensively during the first

30 days. The team will work clients until they have settled back into the community and are linked

with the services they need. While every situation is unique, this takes about six to nine months

on average.

23. Family Resource Centers: Family Resource Centers aim to strengthen secure attachment

between parent and child relationships, and to promote healthy social-emotional development in

children age five and under from high risk families residing in eight communities in the Bronx and

Harlem.

24. High Fidelity Wraparound (HFW) is a youth-guided, family-driven planning process that allows

youth and their family achieve treatment goals that they have identified and prioritized, with


assistance from their natural supports and system providers, while the youth remains in his or her

home and community setting.

25. Mobile Residential Support Teams focus on transitioning adults living in supported housing

apartments into community living. Once these individuals are living in the community, Mobile

Residential Support Teams visit them in their homes to help ensure that their basic needs are

being met. Teams assist with discharge and community residential support for high risk

individuals such as those with co-morbid medical conditions, dual diagnoses of mental illness

and/or developmental disability.

26. Long Stay Teams are services that assist with the transition of long stay individuals in State PC

or residential settings into structured community settings. Long stay is defined as an adult with a

State PC or residential length of stay exceeding one year.

27. Skilled Nursing Facility (SNF) Transition Supports: The SNF Supports are designed to

develop State-operated transition and support services for individuals discharged from State PCs

to skilled nursing facilities or managed long term care settings in the community. Many individuals

who are eligible for nursing home care but no longer require inpatient psychiatric treatment, may

need some enhanced support during the transition to a nursing home. In addition, nursing homes

have indicated a need for continuing engagement and consultation from OMH facility staff with

expertise in managing complex comorbid conditions. The SNF initiative provides the necessary

State staffing supports and psychiatric consultation services to help individuals successfully

transition to and remain in the appropriate level of nursing or long term care in the community

rather than an inpatient institutional setting.

28. Sustained Engagement Support Team: The Sustained Engagement Support Team (SES) is a

centralized unit within the NYS Office of Mental Health that provides telephonic outreach to

individuals who were unsuccessfully discharged from State-Operated adult outpatient clinics or

ACT Teams in an effort to facilitate re-engagement in outpatient services. This includes adults

who were discharged due to loss of contact, declination of services, and incarceration. The SES

Team and OMH State-Operated outpatient providers work closely together to identify factors

leading to disconnection from mental health treatment. The SES Team actively collaborates with

providers, hospitals, and correctional facilities to coordinate referrals and discharge plans for

individuals in need of re-engagement. The team also works with community providers to ensure

continuity of care and assist in overcoming any barriers to engagement. Sustained Engagement

data reflect the total number of individuals disconnected from care who were successfully re-

engaged in services by this program.

29. Residential Stipend Adjustments: OMH has directed a portion of reinvestment funds for

targeted Supported Housing stipend and Single Room Occupancy (SRO) model adjustments to

address funding gaps. Similar to residential investments in the prior budget cycles, OMH has

targeted the resources using data to identify the highest priorities.

30. Peer Specialist Certification: The NY Peer Specialist Certification process was developed to

acknowledge peers who have acquired the skills that qualify them to assist another in their

recovery journey. This process is operated by a board of experienced peer specialist from across

NYS. The board is responsible for developing the standards for training and

experience. Certification promotes a skilled workforce which is not able to tape new funding from

new sources such as Medicaid. Finally, the process establishes the qualifications for professional

recognition for individuals working in the mental health system based on “The Shared Personal

Experience” paradigm.


Documents

January 2019 Monthly Report - New York State Office of ... · OMH Monthly Report: January 2019 1 of 28. Table 1: NYS OMH State Psychiatric Center Inpatient Descriptive Metrics for